Auckland Cat Club Inc

Auckland Cat Club Inc.

MEMBERSHIP: APPLICATION (or) RENEWAL FORM (Delete which does not apply)

Membership is from 1st January to 31st December, Year 2015

Please fill in the form below and return to:

Maria Jensson 61 Burundi Avenue Clendon Park Auckland 2103 OR email

(Please print clearly)

Name:______

Address:______

______

E-mail: ______

Phone No:______Cell Phone No: ______a) I/We are:  Registered Breeders Interested in Breeding

Prefix(es): ______(if applicable)

Breeds of Cats______

Colours:______b) I/We are not Breeding Cats Please state what breed(s) of cats you own:

Breed(s): ______

Colours: ______

Type of Membership: If membership lapses for more than one Financial Year the Joining Fee will apply

Joining Fee $ 5.00  Single Full (Including Catnip Magazine) $15.00  Double Full (Including Catnip Magazine) $20.00  Junior Membership (excluding Catnip Magazine) $5.00  Junior Membership (Including Catnip Magazine) $10.00  Total Amount Paid $______

Please indicate if you would be happy to receive Catnip Magazine via Email - YES / NO (Please make all cheques payable to The Auckland Cat Club Inc.) Direct credit Payment can be made to ASB Bank: 12 3232 0024558 00. Please list your Name with Initials in the “Reference”, with “Membership” in the Particulars and “2015” under Code. If paying by direct credit it is still necessary to post/email this form to the above address, so we have a written record of your membership.